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Organization
KING'S MINDFULNESS CENTER
Active
Organization
KING'S MINDFULNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATISHA L. MARSHALL APN (OWNER)
(732) 278-5459
Entity
Organization
Contact information
Practice address
525 LACEY RD STE E2, FORKED RIVER, NJ 08731-1543
(732) 278-5459
Mailing address
1358 HOOPER AVE UNIT 394, TOMS RIVER, NJ 08753-2882
(732) 278-5459
(732) 279-3074
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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